Online Registration

Please fill up all fields of information (Capital Letters only)

Admission sought in Class

Particulars of the child/ Ward

Name
Gender

malefemale

Date of Birth
Residential Address
Educational Qualifications
Occupation
Name of the Organization
Contact No. 1.
Contact No. 2.
E-mail

Particulars of the Mother

Name
Educational Qualifications
Occupation
Name of the Organization
Contact No. 1.
Contact No. 2.
E-mail

Other Details

Transport facility
Hostel Facility
Landmark from where transport pick up & drop required
Previous Schooling
Specify Previous School Name & Address (if applicable)
Is your child toilet-trained?

How many siblings does the child have?

Brothers (mention name & age)
(1)
(2)
Sisters (mention name & age)

(1)
(2)

History of past illness of the child/ Ward

Specific ailments suffered in the past
Specify (if yes)
Surgery undergone
Specify (Is Yes)
Allergy
Specify (if yes)
Does your child suffer from any phobia ?
Specify (if yes)
Is the child presently on any regular medication ?
Specify (if yes)
Any special instructions

Declaration by Parent/Guardian

I declare that the information given is correct and complete.
I have not withheld any information.